Active NPI
Sarah Putt, OT
- Occupational Therapist
- Kosciusko, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3351
- Practice address
- 130 Parkway PLZ
Kosciusko, MS 39090-3217 - Phone
- (662) 289-3588
- Fax
- (662) 289-3533
- NPI assigned
- Dec 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3351 | MS | Primary |
Addresses
Primary practice location
130 Parkway PLZ
Kosciusko, MS 39090-3217
Mailing address
PO Box 23996
Jackson, MS 39225-3996
Phone (601) 206-6100
Other practice location 1
950 E County Line Rd Ste E
Ridgeland, MS 39157-1928
Phone (901) 853-9747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | Occupational Therapist | Current | Accepting new patients |
| Premier Medical Group of Mississippi LLC | Current | Accepting new patients | |
| Drayer Physical Therapy Mississippi LLC | Past | Accepting new patients | |
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330
332 Highway 12 W
Kosciusko, MS 39090
Phone (601) 206-6100
130 Parkway Plz
Kosciusko, MS 39090
Phone (662) 289-3588
950 E County Line Rd
Ste E
Ridgeland, MS 39157
Phone (601) 853-8747
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Louisville, MS
- NPI 1952732448
Occupational Therapist
-
- Clinic/Center
- Kosciusko, MS
- NPI 1790827038
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
-
- Clinic/Center
- Jackson, MS
- NPI 1548219884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1144736885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23996",
"city": "JACKSON",
"state": "MS",
"postal_code": "392253996",
"telephone_number": "601-206-6100",
"fax_number": "601-206-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 PARKWAY PLZ",
"city": "KOSCIUSKO",
"state": "MS",
"postal_code": "390903217",
"telephone_number": "662-289-3588",
"fax_number": "662-289-3533"
}
],
"practiceLocations": [
{
"address_1": "950 E County Line Rd Ste E",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "MS",
"postal_code": "391571928",
"country_code": "US",
"telephone_number": "901-853-9747",
"fax_number": "601-898-4761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUTT",
"first_name": "SARAH",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT3351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kosciusko, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.